Transcription of TOXIC SUBSTANCE CONTROL ACT (TSCA) CERTIFICATION
1 TOXIC SUBSTANCE CONTROL ACT (TSCA)CERTIFICATIONDate:Company Name:Company Address:City/State:Country/Zip:Authorize d Name:Authorized Signature:Title:Federal Express AWB#:(CHECK ONE SECTION ONLY)"I certify that all chemical substances in this shipmentcomply with all applicable rules or orders under TSCAand that I am not offering a chemical SUBSTANCE forentry in violation of TSCA or any applicable ruleorder thereunder.""I certify that all chemical substances in this shipmentare not subject to TSCA."If the certifier is unsure if their chemical SUBSTANCE is subject to TSCA compliance,contact the Environmental Protection Agency, TSCA Assistance Office, Washington, (202) 554-1404 between 8:30 am and 5:00 pm May 7, CERTIFICATIONPOSITIVE CERTIFICATION
